NORTH LOMA LINDA VA CLINIC (4596) INSTITUTION (4)

Name	Value
NAME	NORTH LOMA LINDA VA CLINIC
STATE	CALIFORNIA
STREET ADDR. 1	10391 CORPORATE DR
CITY	REDLANDS
ZIP	92374-4509
OFFICIAL VA NAME	NORTH LOMA LINDA VA CLINIC
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 22 PARENT FACILITY PARENT OF ASSOCIATION: LOMA LINDA HCS
BILLING FACILITY NAME	REDLANDS 1 VA CLINIC
EFFECTIVE DATE/TIME	2022-09-12 00:00:00 STATUS: ACTIVE NPI: 1306568878
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	PACIFIC
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	605GF
HISTORY
IDENTIFIER	CODING SYSTEM: CLIA ID: 05D2008792